Dog Leash Reactivity Training Intake Questionnaire Form
Dog Leash Reactivity Training Intake Questionnaire Form
Dog’s Name
*
Dog’s Age (in years)
*
Dog’s Breed
*
Dog’s Sex
*
Male
Female
Other / Intersex
Dog’s Weight (in lbs)
*
What are your main concerns or behaviors on leash?
*
What are the typical triggers or situations for leash reactivity?
*
Other dogs
People
Bikes/skateboards
Cars/traffic
Loud noises
Other (please specify)
How often does the leash reactivity occur?
*
Rarely (less than once a week)
Sometimes (1–3 times a week)
Often (4+ times a week)
Every walk
What have you already tried to address leash reactivity?
*
What are your training goals or desired outcomes?
*
Submit Intake
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